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HomeMy WebLinkAboutXR2023-0918 - PermitsCity of Newport Beach Q��EaoRT Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 D n r Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 CqG/Fo0.N`P newportbeachca.gov/inspections Combination Type - PLUM Work Class - Demolition ��III��III�IIII��III111111111111111111111111111111 COMB Permit : XR2023-0918 Plan Check No : PC2022-2691 Issued Date : 0411012023 Inspection Area : 1 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 123 44TH ST Legal Desc : A TR RIVER SECTION BLK 44 LOT 21 Description: DUPLEX -DEMO EXIST'G (2) BEDROOM / (2) BATH; 1,158 SF *INCLUDE SEWER CAP Owner: JOHN ERCK Address: 123 44TH ST NEWPORT BEACH, CA 92663 Phone Applicant: J W B CONSTRUCTION SERVICES Address: 18161 ESTES WAY SANTA ANA, CA 92705 Phone: (714)730-8464 Owner/Builder : Address : Contractor: J W B CONSTRUCTION SERVICES Address : 18161 ESTES WAY SANTA ANA, CA 92705 Phone: (714)730-8464 Con State Lic : 690352 Lic Expire : 05/31/2023 Bus Lic: BT30071296 Bus Lic Expire : 03/31/2024 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 1903645 W. C. Expire : 9/18/2023 Architect Address Phone: State Lic JOHN MORGANJR 18682 BEACHMONT AVE SANTA ANA, CA 92705 (714)730-2723 o' o�on Engineer: FORBES DALE L Address : 1800 E 16TH ST #B SANTA ANA, CA 92701 Phone: (714)835-2800 Designer: Address Phone: Phone: a Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $12,000h1)GC a Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 2 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 1 Added/New sq. ft. Garage : 0 -TOTAL sq. ft. : 0 Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone: X Use Zone: R-2 - Two -Unit Residential PROCESSED BY: NO CONSTRUCTION NOISE SPECIAL CONDITIONS: LIQUEFACTION/HIGH-DENSITY ZONE P G��� HAULER: JD DEMOLITION AND GRADING INC. �' "' F� i DEMO CERTS ATTACHED ON THE WEEKEND Lpwl I I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a perm It to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant. for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). F1 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portion$ of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided [hat the improvements are not Intended Or offered for sale. If, however, the building or improvement is sold within one year of completion., the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale).. 71 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), 0 I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior t0 completion of the improvements covered by this permit, I cannot legal]! Roll a structure that I have built as an owner-buildar if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the. applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted Or at the following Web sito:hltp:/1www.leginfo.ca.gov/calaw.html. Signature of Property Owner Or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) of Division 3 of the Business and Professi , an Ilv is r I force and effect. License Class License No Date Oy0 Contractor Signature WORKERS' COMPENSATION DECLARATION NABBING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE$ UP TOONE HUNDRED T OUSAND DOLLARS (E100,090). IN ADDITION TO THE COST OF COMPENSATE)!', pWAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, h Trs S; 3ffirm underpsnalty of perjuryone of the following declarations: —11 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, forth 3e.folmanza of the work for which this permit is Issued. Policy No. Nave and will rttinfsih workers' Compensation insurance, as required by Section 3700 of the Labor Code. for the performance of the work for which this permit is issued. My workers' compeosatioi nsurtnca carrier and policy number are: +er Policy Number Expiration Date •e nt Agent Phone # aw I y that In [ha performa of work r whlc this pe It is issued. I shall not employ any person in any manner sa as to became subject to the workers' compensation taws of California, and agree if I should be. ore s ILI v wor ' co nsal revisions of Section $700 of the Labor Code, I shall forthwith complywith those provisions. ,�/ witme of:Appl: a; t..,....,., Date t IG/Z C, 7- hereby affirm under pgfialty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). endpr's Name Lender's Address y my signature beellio. I certify to each of the fallowing: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have proved is correct. I agree to comply will) all applicable city and county ordi ne and ale r ling to building construction. I authorize representatives of this city or county to t b •Id ed arty for inspection purposes. onature of ProDerty Owner or Authorized AGenf Print Property Owner's Or Authorized Aoent's Name 1 ACTION DATE I BY DECE'ARATtON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I REGULATIONS PART 630E TITLE 40 AND AOMD RULE 1403 PERMIT EXPIRED LJ�ISUHIM ITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED .�.__ MEPA PERMITEXTENDED ZIMIDCERTIFICATEOr _ PERNfiT FINAL � ! ASBESTOS NOI"]N ]O//�NJOS APPII -AL/iLE//f(� OCCUPANCY ISSUED `� �� SIGNATURE: �� / �qft �r $